Posters

Rehabilitation of a patient after severe trauma with toric IOL implantation

Poster Details

First Author: M.Kremeshkov RUSSIA

Co Author(s):    D. Ivanov                    

Abstract Details

Purpose:

To present tactics of patient’s rehabilitation after severe trauma, technique of surgery with toric IOL implantation in absence of capsular support, to estimate functional result of surgical treatment

Setting:

IRTC Eye Microsurgery Ekaterinburg Center, Ekaterinburg, Russia

Methods:

A 17-year old patient addressed to our clinic with corneoscleral scar, posttraumatic astigmatism, pseudophakia, IOL luxation into the vitreous body in the left eye. In 2009 - penetrating injury, primary surgical management. Two months later monofocal single-piece IOL was implanted. Visual acuity OD = 1.2, OS = 0.02 sph + 11.0 = 0.2 cyl + 4.0 ax 15° = 0.5. Keratometry: OD 44.5 / 43.75 ax 85°; OS 46.25 / 42.0 ax 15°. Operation included: IOL explantation, toric IOL (SN6AT9, + 22.5 D) implantation with suture fixation, pupilloplasty. The operation was performed with Verion navigation assistance.

Results:

At day 2, visual acuity OS = 0.3 sph – 0.75 cyl + 2.5 ax 40° = 0.5. At 3 months, visual acuity OS = 0.4 sph + 0.75 cyl – 2.75 ax 135° = 0.6. At 7 months, visual acuity OS = 0.5 sph + 0.5 cyl – 1.5 ax 150° = 0.7. The patient gained binocular vision.

Conclusions:

Toric IOL implantation with pupilloplasty provided a stable high functional result in rehabilitation of a patient after severe trauma.

Financial Disclosure:

None